Active NPI
Shannon Rebecca Segaloff, APRN
- Pediatrics Physician
- Boynton Beach, FL
National Provider Identifier
1679041891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- APRN9278265
- Practice address
- 6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586 - Phone
- (561) 509-5009
- Fax
- (567) 738-0556
- NPI assigned
- Nov 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | APRN9278265 | FL | Primary |
Addresses
Primary practice location
6080 Boynton Beach Blvd Ste 240
Boynton Beach, FL 33437-3586
Mailing address
6812 Bridlewood CT
Boca Raton, FL 33433-3591
Phone (954) 732-7858
Other practice location 1
12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212
Phone (561) 798-2468
Other practice location 2
5589 Okeechobee Blvd
West Palm Beach, FL 33417-4486
Phone (561) 471-1144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9278265 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sobia Najm Masoud MD.PA. | Pediatrics | Past | Accepting new patients |
| Palm Beach Pediatrics, LLC | Pediatrics | Past | Accepting new patients |
| Robert W. Wilson, D.O., P.a. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Boynton Beach, FL
- NPI 1528249976
-
- Pediatric Adolescent Medicine Physician
- Naples, FL
- NPI 1841415932
-
- Pediatrics Physician
- Naples, FL
- NPI 1457927543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1679041891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6812 BRIDLEWOOD CT",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334333591",
"telephone_number": "954-732-7858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6080 BOYNTON BEACH BLVD STE 240",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334373586",
"telephone_number": "561-509-5009",
"fax_number": "567-738-0556"
}
],
"practiceLocations": [
{
"address_1": "12955 Palms West Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Loxahatchee",
"state": "FL",
"postal_code": "334709212",
"country_code": "US",
"telephone_number": "561-798-2468",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5589 Okeechobee Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334174486",
"country_code": "US",
"telephone_number": "561-471-1144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEGALOFF",
"first_name": "SHANNON",
"middle_name": "REBECCA",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-06",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "APRN9278265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.